Diocesan Youth Day Retreat Registration Form

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Register for one of the 2026 Diocesan Youth Day Retreats that are happening around Vermont. To see full details, please take a look at the retreats page (https://www.vermontcatholic.org/ministries-programs/youth-young-adult/youth-day-retreats/) and relevant event page on the Diocesan website.

Items to note:

We will not be providing food for attendees, so you are required to bring their own lunches and snacks with you. Please avoid bringing any foods that contain tree nuts as this is a common allergy.
For students under 18 years old who are attending the retreat, parents or legal guardians will be required to fill out a Youth Registration, Medical Release, and Permission Combined Form. You will be emailed a copy after registering.
For those students over the age of 18 who are attending the retreat, they will be required to fill out an Adult Medical Waiver, Liability & Photo Release Agreement. You will be emailed a copy after registering.
Unless otherwise stated, the retreats will end 15 minutes prior to the start of the Vigil Mass for the participating parish, so please plan to pick them up ahead of Mass (even if you plan on attending).

Feel free to touch base with Isaac Desranleau, the Youth and Young Adult Minister for the Diocese of Burlington, if you have any questions. You can reach him at idesranleau@vermontcatholic.org.

Which Diocesan Youth Day Retreat would you like to sign up for? *

January 3: Mount Saint Joseph Academy, Rutland

April 11: Sacred Heart St. Francis de Sales Parish Center, Bennington

May 9: St. Charles Parish Center, Bellows Falls

May 16: St. Catherine of Siena Hall, Shelburne

May 30: Father Lively Center, St. Johnsbury

What is the student's name? *

What is the student's email? *

What is the student's date of birth? *

YYYY

Does the student have any food allergies or dietary restrictions? *

Yes

If applicable, please list any/all of the student's food allergies or dietary restrictions:

What is the parent's name? *

What is the parent's email? *

What is the parent's phone number? *

We are always looking for chaperones for retreats like this. Parent, would you be willing to chaperone for the day? *

Yes

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